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Epinephrine

Phase 2

Anaphylaxis Food | Small molecule | Other |Nasus Pharma Ltd.|Last Updated: Jul 1, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment30
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07045701FMXIN002 in Patients at Risk of AnaphylaxisPHASE2 ENROLLING BY_INVITATION 30Jun 12, 2025Jul 12, 2026Jul 1, 20251 Israel
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Study Endpoints
Primary Endpoints
Skin system anaphylaxis symptoms
0-90 minutes after drug administration

Severity grading system for acute allergic reactions. Skin system, severity score 0 (=no reaction) to 5(= severe reaction), based on the Delphi study, 2021

Mucosal system anaphylaxis symptoms
0-90 minutes after drug administration

Severity grading system for acute allergic reactions, mucosal system, severity score 0 (=no reaction) to 5(= severe reaction), based on the Delphi study, 2021

Gastrointestinal system anaphylaxis symptoms
0-90 minutes after drug administration

Severity grading system for acute allergic reactions, gastrointestinal system, severity score 0 (=no reaction) to 5(= severe reaction), based on the Delphi study, 2021.

Respiratory system anaphylaxis symptoms
0-90 minutes after drug administration

Severity grading system for acute allergic reactions, respiratory system, severity score 0 (=no reaction) to 5(= severe reaction), based on the Delphi study, 2021.

Total anaphylaxis severity score
0-90 minutes after drug administration

Severity grading system for acute allergic reactions, Combined systems, anaphylaxis score 0 (=no reaction) to 5(= severe reaction), based on the Delphi study, 2021.

Vital signs: Blood pressure
0-90 minutes after drug administration

Systolic and diastolic blood pressure by a blood pressure cuff

Vital signs: pulse rate
0-90 minutes after drug administration

heart rate by pulse rate measurement

Vital signs: oxygen saturation
0-90 minutes after drug administration

% oxygen saturation measurement using oxygen monitor

Secondary Endpoints
Need for a second epinephrine dose
0-90 minutes after drug administration
Adverse events
0-90 minutes after drug administration
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
FMXIN002 4mg + saline IMEXPERIMENTALEpinephrine powder nasal spray together with a placebo IM injection
Adrenaline 0.5mg IM + placebo nasal sprayACTIVE_COMPARATOREpinephrine IM injection together with a placebo nasal spray
Interventions
NameTypeDescription
Epinephrine 4mg nasal powder sprayCOMBINATION_PRODUCTEpinephrine nasal powder spray in a unidose nasal applicator device. Will be administered together with a placebo saline IM injection
Adrenalin 0.5mg Injectable ProductCOMBINATION_PRODUCTEpinephrine 0.5mg for IM injection. Will be administered together with a placebo nasal powder spray.
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Eligibility Criteria
Age Range18 Years — 40 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Age 18-40 years, any gender * Documented or suspected food allergy (based on IgE level or clinical history) * Development of Grade II or III reaction during OFC Exclusion Criteria: * Age \<18 or \>40 * Poorly controlled asthma (FEV1 \< 80% or frequent symptoms) * Active eosi...

Countries:Israel
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT07045701primaryCompletionDate: changed
LOWMay 24, 2026NCT07045701studyFirstPostDate: changed